Evergreen Optical – Eyewear Supplier, NPI 1154399319

Evergreen Optical is a healthcare provider. based in Kirkland, Washington. specializing in Eyewear Supplier. The NPI Number for Evergreen Optical is 1154399319

Main info

Organization
Name
Evergreen Optical
NPI
1154399319
Phone
(425) 820-6307
Address
11919 NE 128th St
Authorized Official
ROSA CAMPOS CREDENTIALING MANAGER
Enumeration Date
14 March 2006
Last Update Date
12 January 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Evergreen Optical

  • 11919 NE 128th St

    Ste A

    Kirkland, WA 980347204

    Phone: (425) 820-6307

    Fax: (425) 821-8836

    Type: Location

  • The Seattle Rhinoplasty Center, 1101, Madison Street, First Hill, Seattle, King County, Washington, 98104, United States

    STE 600

    SEATTLE, WA 981041306

    Phone: (206) 215-2004

    Fax: (206) 215-2055

    Type: Mailing

  • 11325 NE 120TH ST STE 11325

    KIRKLAND, WA 980346907

    Phone: (425) 775-0548

    Fax: (425) 670-6708

    Type: Location

  • Eye Associate NW, 11919, Northeast 128th Street, Kirkland, King County, Washington, 98034, United States

    STE A

    KIRKLAND, WA 980347204

    Phone: (425) 820-6307

    Fax: (425) 821-8836

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98034)

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Reviews

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Frequently asked questions

What is Evergreen Optical's NPI number?
Evergreen Optical's NPI is 1154399319 — the number used across U.S. healthcare to identify this provider.
Is Evergreen Optical shown as active in public data?
Registry records indicate Evergreen Optical maintains an active NPI.
What area of care is associated with Evergreen Optical?
Evergreen Optical's record emphasizes Eyewear Supplier. Clinical services aligned with this taxonomy classification.
What locale is associated with Evergreen Optical?
Directory geography for Evergreen Optical centers on Kirkland, Washington.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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